Flashcard 12 Neuro

1
Q

Wernicke Encephalopathy

A

MEDICAL EMERGENCY
causing life-threatening brain disruption, confusion, staggering etc.
followed by Korsakoff syndrome

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2
Q

what happens retinal detachment

A

outermost 10th layer detaches from inner 9 layers of retina (sometimes due to changes in vitreous humour)

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3
Q

management of orbital cellulitis

A
  • admit
  • pus drainage
  • IV antibiotics
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4
Q

describe a pseudoseizure

A

great stress/ psychological issues
normally recall what was happening around them rather than to them during seizure
no organic cause

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5
Q

front tongue bite

A

syncope/ faint

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6
Q

weakest point of skull

A

pterion

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7
Q

most common cause of subarachnoid haemorrhage

A

burst berry aneurysm

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8
Q

patient can’t interpret sounds/ sights

A

agnosia

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9
Q

agnosia

A

patient can’t interpret sounds/ sights

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10
Q

communicating hydrocephalus presentation

A
  1. cranial sutures fused - increased ICP symptoms

2. Cranial sutures not fused - disproportional increase in head circumference, failure to thrive

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11
Q

how is a traumatic basal SAH caused

A

forceful impact on upper side of neck causing rapid rotation leading to rupture of vertebro-basilar circulation

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12
Q

diffuse axonal injury

A

serious rotational forces applied to brain tissue causing shearing of axons

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13
Q

describe a cluster headache

A
  • very severe pain around eye one sided
  • associated nausea
  • 1-3 months on/ 1 month off
  • striking circadian rhythm
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14
Q

best treatment giant cell arteritis

A

IV cortisone

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15
Q

function carbamazepine

A

anti-convulsant

e.g.
tonic clonic seizures
trigeminal neuralgia
bipolar disorder

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16
Q

pyridostigmine

A

anti-cholinesterase drug used in treatment of myasthenia gravis

17
Q

describe pain associated with paroxysmal hemicrania

A

severe, clawing like pain on one side of head, normally around eye
throbbing
boring like pain

18
Q

Parkinsonism

A

clinical picture characterised by tremor, rigidity, slowness of movement and postural instability

19
Q

prognosis CNS lymphoma

A

difficult to treat as normally deep within brain and drugs cannot cross BBB

20
Q

coning

A

cerebellum moves inferiorly into foramen magnum

21
Q

late Parkinsonism treatments

A

prolong levodopa half life, with continuous infusion
oral dopamine agonist
care package
functional neurosurgery

22
Q

3 components anterior arterial supply to brain

A
  • 2xACAs
  • 2x MCAs
  • 2x ICAs